RT Journal Article
SR Electronic
A1 Alexander, Lori
T1 Selected Update: State of the Art in STEMI Care
JF MD Conference Express
YR 2012
FD SAGE Publications
VO 12
IS 4
SP 26
OP 27
DO 10.1177/155989771204018
UL http://mdc.sagepub.com/content/12/4/26.abstract
AB It has been well established that primary percutaneous coronary intervention (PCI) is superior to fibrinolytic therapy for ST-segment elevation myocardial infarction (STEMI) but only if coronary reperfusion can be established in a timely manner (<90 minutes) by skilled operators. Achieving that goal has been a challenge, however, because of delays in diagnosis as well as in treatment. Two particular areas of concern are the effective use of prehospital electrocardiograms and the appropriate treatment strategy for patients who must be transferred a long distance for PCI.